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Individual

HELEN TIMMIE WALLACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4309 CLOUD DANCE, SANTA FE, NM 87507-2591
(505) 438-2960
(505) 438-2960
Mailing address
109 N ARMIJO LN, SANTA FE, NM 87501-6159
(505) 795-4025

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3226
NM

Other

Enumeration date
02/07/2007
Last updated
07/08/2007
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